Ch 15 Flashcards
supervision and consultation
clinical supervision
an intervention provided by a senior or experienced member of a profession to a jumbo or aspiring member or members of that same profession
multiple roles of supervision
teacher, mentor, coach, evaluator, advisor, and consultant
consultation
involves a tripartite relationship among at least three parties: the consultant, the consult, and the consulates client or client system
an indirect process in which a human services professional assists a consulate with a work-related problem with a client system, with the goal of helping both the consulate and the client system in some specified way
two basic types of supervision
administrative
clinical
administrative supervision
occurs when direct-line administrators give direction, or supervision, to counselors who are their employees
purpose is to ensure that counselors who are employed are performing their jobs appropriately
have direct control and authority
clinical supervision
the process whereby the work of counselors is reviewed by other mental health professionals, usually with the goal of increasing the counselors effectiveness
purpose is to help counselors increase their skills and ensure that they are serving their clients appropriately
have no direct control or authority over supervisee
the most blatant violations of supervises fair evaluation rights occur when…
a supervisee is given a negative final evaluation or is dismissed from an internship or job without having been given warning that performance was inadequate along with reasonable opportunity to improve
supervisors assist supervises in…
securing remedial assistance when needed
seek consultation and document their decisions to dismiss or refer supervises for assistance
ensure that supervises are aware of options available to them to address such decisions
formative feedback
designed to help supervises improve their skills
summative feedback
serves the purpose of evaluating the performance of supervises
informed consent principles for supervision
purpose of supervision
the logistics of supervision
information about the supervisor
expectations, roles, and responsibilities
evaluation
ethical and legal practice
**best written
competencies of effective supervisors
familiar with and can skillfully apply the ethical, legal, and regulatory dimensions of supervision
must be cognizant of the need for continuing education
be aware of settings where they would not be great at supervising, and settings they would
you will need to provide your clients with…
disclosure information that informs them of how the supervision process influences the limits of confidentiality, and let them know who will have access to their records
triadic supervision
a dynamic in supervision related to confidentiality a supervisor provides clinical supervision to two supervises at the same time
within a counselor training program both…
a university supervisor and a site supervisor typically oversee the work of the student who is completing a field-based practicum or internship
parallel process
occurs when counselors unconsciously identify with their clients and then present to their supervisors in a similar fashion
supervises with PPC (professional competence) cause…
supervisors increased stress and workload, negatively impact their work environment, and impact client care
supervisor roles
teacher
counselor
consultant
sexual relationship between supervisors and supervisee
unethical
supervisor could attempt to transfer supervisee to different supervisor
carefully document
request consultation to monitor supervised relationship
a therapeutic supervisory stance is…
the most crucial variable in working with problematic supervisees
facilitate open communication
trusting and safe relationship
respondeat superior or vicarious liability
legal principle
holds that individuals who have control and authority over others will be held accountable for their negligence
“let the master answer”
when a counselor who is under the control and authority of another person harms a third person (lawsuit) the….
amount of control that the counselors administrative and clinical supervisors have over the counselor probably will determine the degree to which each supervisor will be held responsible for the counselors negligence
how supervisor can protect themselves in a lawsuit
- is important to maintain a trusting relationship in which supervises feel comfortable in sharing their doubts and concerns
- supervisors must keep up to date with legal issues that affect supervision and mental health practice in general
- supervisors must recognize the need for competent legal advice and ensure that an attorney is available to provide legal support
supervisor documentation…
- meeting date and time
- a listing of cases discussed
- notes regarding client progress
- recommendations made to the supervisee
- issues to be followed up in future meetings
- a plan for remediating any significant supervisee decencies that are identified
what to expect form supervisor
expect them to provide regular face to face supervision
give their full attention during supervision time
thoroughly explain the supervision process to you and secure your informed consent, to possess the competencies described earlier, to be skilled at managing boundaries of the supervisory relationship, to provide you with ongoing feedback about performance, and to safeguard the confidentiality of info exchanged
benefits of distance supervision
lower costs to supervisees
flexibility in scheduling
supervision opportunities for those who live in isolated or rural communities
immediate access to a supervisor in crisis situations
real-time supervision from experts on specific clinical issues
supervising and technologies
- they must be specifically trained in using the needed technologies
- measures must be taken to ensure the security of computer. based communications
- informed consent documents should explicitly discuss the limits of computer-based supervision
- counselor education programs that use distance supervision should have adequate liability coverage and provide technical support
problems with technology and supervision
miscommunication
understanding regulations
promote multicultural competence by
helping supervisee analyze the impact of their clients race or ethnicity , gender role socialization, social class, sexual orientation, etc. on the client’s problems
organizational consultation
counselors sometimes function as consultants to organizations such as business, agencies, or schools
recommendations for contracts that are prepared by consultants
clearly specify the work to be completed by the consultant
describe in detail any work products expected form the consultant
establish a time frame for the completion of the work
establish lines of authority and the person to whom the consultant is responsible
describe the compensation plan for the consultant and the method of payment
specificy any special agreements or contingency plans agree on by the parties
ethical issues consultants face
- consultant competence
- safeguarding consulted and client rights
- the consultation relationship
- the role of values and diversity in consultation
protecting confidentiality in consultation
- information is discussed for professional purposes only
- reports present only date germane to the purpose of the consultation
- every effort is made to protect client identity and avoid undue invasion of privacy `
consultation relationship
focus on work related problems
dual roles as a consultant
the tole of consultant and that of counselor/supervisor
